EFTA01580216.pdf

Funds Transfer Request Peron Types Inskudlons) J..P.Morgan Effective Date: 1O6/13/13 Noose ante; current Ot More dais only Select Appropiate Payment Type and Fields will be Displayed O JPMC Transfer O ACH O Check O Domestic Wire O international Wire Principal: S100.000.00 Income: Debit Account #: Debit Account Titte: Southern Trust Company. Inc Address 1: Receiving Bank ABA: 221571473 P. O. BOX 9146 Receiving Bank Name: FIRST BANK. PUERTO RICO Address 2 Beneficiary Account #: a ;1519 Ponce De Leon Avenue Beneficiary Name: Southern Trust Company. Inc I CnY State: Santurce PR Zip Code: t00909 Account Type: U DDA (US) C .) Swift O Other Intermediary Bank Account/Code: Intermediary Bank Name: Payment Details (Reference/Description/Addenda) Authorized B Date ID: 036306137852195 DATE- 0613201319':02:00 Page 3 of 9 DID: CSC INDEX1 INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059505 EFTA01580216